There are 4 stand-alone Medicare Part D plans in Wisconsin meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
ULORIC TABLETS 80MG 30 BOT (30 BOT) (NDC: 64764067730) 2009 Medicare Prescription Drug Plan (PDP) Information Click here for the Chart Legend | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Does Plan Offer Gap Coverage |
Drug Tier Information | Cost-Sharing | Drug Usage Mgmt |
|||
---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
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Aetna Medicare Rx Essentials |
$34.60 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $71.00 | $142.00 | S | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$61.60 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $77.00 | $154.00 | S | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$102.70 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
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